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Renewal and Reinstatement Forms

Biennial Pharmacist License Renewal, 08-4096, Revised 04/21/10.

Biennial Pharmacy Technician License Renewal, #08-4306, Revised 04/21/10.

Biennial Pharmacy Renewal, #08-4553, Revised 04/21/10.

Biennial Pharmacy Drug Room License Renewal, #08-4097, Revised 04/21/10.

Biennial Remote Pharmacy License Renewal, #08-4552, Revised 04/21/10.

Biennial Wholesale Distributor License Renewal, #08-4554, Revised 07/24/07.

Biennial Out-of-State Pharmacy License Renewal, #08-4555, Revised 04/21/10.

Reinstatement of a Pharmacist Lapsed for More than Two Years, #08-4225, Revised 07/24/07.

 

 
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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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